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The ERASE MM (Enhancing Reviews and Surveillance to Eliminate Maternal Mortality) initiative assists states in identifying ways to reduce maternal mortality and complications of pregnancy.

Our CMIH team collaborates with North Carolina hospitals, clinics, and communities to provide free training on maternal warning signs during pregnancy and 1 year postpartum to provide assistance with planning and implementation of obstetric emergency protocols.

‘I Gave Birth’ Implementation Tool Kit

Approximately 2 out of 3 pregnancy-related deaths occur outside of the day of delivery or the week postpartum

The goal of the “I Gave Birth” bracelet initiatives to improve care of patients who present for medical care during the postpartum period. The bracelets serve as a reminder to staff to look for post-birth warning signs including:

• Chest pain or shortness of breath
• Seizures or headache
• Thoughts of harming themselves or others
• Uncontrollable bleeding
• Fever of 100.4 F or higher

Bracelets are provided to patients delivering a live infant or stillbirth after 20 weeks gestation along with education about post-birth warning signs.

Click here for a step-by-step plan for implementing this initiative in your institution!

For more resources and printable handouts

• AIM Statement Worksheet 
• IHI—QI Essentials Toolkit: Maternal Health 
• IHI—Science of Improvement: Forming the Team  
• Quality Improvement Project Measures Worksheet

See how this was initiated with ECU Health Medical Center

ECU Health Medical Center is the only tertiary care center in Perinatal Region VI; they were influential in allocating best practices and quality improvement initiatives. Below you will see the presentation overview with background, methods, and discussions surrounding the ‘I Gave birth’ initiative. Informational flyer and badge ID cards are included below, serving as a visual reminder of the initiative and care in the 4th trimester.

References

‌AWHONN. POST-BIRTH Warning Signs education program (n.d.).  https://www.awhonn.org/education/hospital-products/post-birth-warning-signs-education-program/ 

CDC. (2016, January 1). CDC Newsroom: Hear Her: CDC campaign highlights Warning Signs of Pregnancy https://www.cdc.gov/media/releases/2022/p0919-pregnancy-related-deaths.html 

Noble BSN, RNC, J., Harper MSN, RN, MHA, K. D., Mitchell MSN, CNM, K., & McClain MA, MPH, E. K.(2023). “I Gave Birth”–An Initiative to Improve Postpartum Care [Review of “I Gave Birth”–An Initiative to Improve Postpartum Care]. North Carolina Medical Journal, 4(1), 24–27. 

Roosa Tikkanen et al. (2020, November 18). Maternal mortality and maternity care in the United States compared to 10 other developed countries. https://doi.org/10.26099/411v-9255 

Additional Patient Education Resources

Click on the ‘Order Materials’ button below to order free educational materials through the DHHS Warehouse

Order Materials

Contact Us Liz Soto BSN, RN | lizso@email.unc.edu

DISCLAIMER: This webpage was supported by the Centers for Disease Control and Prevention (CDC) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $450,000 with 0% percentage financed with nongovernmental sources. The contents are those of the authors and do not necessarily represent the official views of, nor an endorsement, by CDC, HHS, or the U.S. Government.   

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• Visiting hours 9 a.m. – 9 p.m.
• Adult inpatients will be allowed 1 visitor during the day (9 a.m. – 9 p.m.) and 1 visitor at night (9 p.m. – 9 a.m.)
• COVID-19 positive patients will continue to have no visitors (except for laboring women, who may be allowed to have the birthing partner at bedside).
• Laboring mothers may designate two support people, which could include a doula. After birth, patients may designate one support person for the entire length of stay in the hospital. Visiting hours do not apply to these visitors.

Click HERE for the most updated version of the document “Having Your Baby During the COVID-19 Pandemic: Questions You May Have”
Click HERE to go to the main UNC Health page for more information.
Click HERE for the Spanish version of the Visitor Policy.

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 The Winter newsletter includes our statement on the FDA Advisory Committee Decision regarding 17P, the launch of two new websites NewMomHealth & SafeSleepNC.org, new materials from our Perinatal Neonatal Outreach Coordination efforts, and much more.
 Click here to read the full newsletter.

The post CMIH Winter Newsletter appeared first on UNC Collaborative for Maternal & Infant Health.

Safe Sleep NC is here to equip healthcare professionals and parents, so North Carolina babies sleep safer for every nap and nighttime sleep. Check out our new website SafeSleepNC.org to find lots of practical information.

For more information regarding Safe Sleep NC, contact Megan Canady megancanady@med.unc.edu 919-843-7865

Information for healthcare professionals, includes:

Information for parents in both English and Spanish, includes:

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Click Here to learn more about our 17P Social Media Toolkit. You are encouraged to personalize these for your clinic and share them on your clinic’s various social media platforms. There are messages intended for consumers and messages directed toward healthcare providers.

Click HERE to learn more about the NC 17P Project.

If you have questions about the NC 17P Project, contact Erin McClain at erin_mcclain@unc.edu

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To ensure the safety of patients at UNC Hospitals, children ages 11 years old and younger are prohibited from visiting inpatients and inpatient waiting rooms at UNC Hospitals (including the Chapel Hill, Hillsborough and Wakebrook campuses, but excluding inpatient Hospice) and are prohibited from perioperative waiting rooms at UNC Hospitals Medical Center (Chapel Hill) and Hillsborough Hospital beginning Monday, Jan. 6, 2020.  These restrictions were previously in place for the Newborn Critical Care Center (NCCC), Pediatric Intensive Care Unit (PICU), 5 Children’s/Intermediate Care (5CH) and Bone Marrow Transplant Unit (BMTU) at UNC Hospitals.

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Click HERE to view the latest updates from the CMIH team.
This issue includes:

• Safe Sleep NC resources
• Assessing risk-appropriate care and postpartum birth control
• NEW You Quit,Two Quit materials
• Postpartum Care
• Preconception health innovation (CoIIN)
• CMIH and MAHEC partner for preconception health
• Our new staff and interns
• Update on collaborative work to enhance the care for NC  incarcerated pregnant and new mothers

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Due to a decrease in the number of influenza cases, visitor restrictions for inpatient areas and waiting rooms at UNC Hospitals (Chapel Hill and Hillsborough) will end on Friday April 13, 2018.

Please note that due to continued circulation of RSV, restrictions remain in place for the Newborn Critical Care Center, Pediatric Intensive Care Unit, and Bone Marrow Transplant Unit at UNC Hospitals.

To protect our patients and colleagues, it is important to continue to screen all children visitors for symptoms of a respiratory virus (e.g., cough or sore throat with fever) and exclude any guests and family members with symptoms from visiting the hospital and our clinics.

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This past December, all four teams and CMIH, met for the first official weekend-long meeting in D.C to discuss not only how to make productive change but what change could be defined at each of the varying pilot sites in each state. Teams were met with presentations that discussed Human Centered Design, preconception screening tools, how to build community and state support, measurement and evaluation. It was a busy few days, but teams were able to brainstorm what their possible next steps would be and reflect on all of the information received together.

We’re excited to see where the teams will be as our Preconception Collaborative Improvement and Innovation Network (CoIIN) progresses! For more information and updates, please follow this link.

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